| NPI | 1902528250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MAE SCOTT Owner/Physical Therapist 817-733-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |